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Supplemental material, sj-pdf-1-hss-10.1177_15563316231160458 for Common Football Foot and Ankle Injuries: Non-Surgical and Surgical Management by David Cho, Saanchi Kukadia and Mark Drakos in HSS Journal®: The Musculoskeletal Journal of Hospital for Special Surgery

Supplemental material, sj-pdf-1-hss-10.1177_15563316231160458 for Common Football Foot and Ankle Injuries: Non-Surgical and Surgical Management by David Cho, Saanchi Kukadia and Mark Drakos in HSS Journal®: The Musculoskeletal Journal of Hospital for Special Surgery

Supplemental material, sj-pdf-2-hss-10.1177_15563316231160458 for Common Football Foot and Ankle Injuries: Non-Surgical and Surgical Management by David Cho, Saanchi Kukadia and Mark Drakos in HSS Journal®: The Musculoskeletal Journal of Hospital for Special Surgery

Supplemental material, sj-pdf-3-hss-10.1177_15563316231160458 for Common Football Foot and Ankle Injuries: Non-Surgical and Surgical Management by David Cho, Saanchi Kukadia and Mark Drakos in HSS Journal®: The Musculoskeletal Journal of Hospital for Special Surgery

Supplemental material, sj-pdf-2-hss-10.1177_15563316231160458 for Common Football Foot and Ankle Injuries: Non-Surgical and Surgical Management by David Cho, Saanchi Kukadia and Mark Drakos in HSS Journal®: The Musculoskeletal Journal of Hospital for Special Surgery

Supplemental material, sj-pdf-1-ajs-10.1177_03635465211026969 for Lateral Ligament Reconstruction With Hamstring Graft for Ankle Instability: Outcomes for Primary and Revision Cases by Stephanie K. Eble, Oliver B. Hansen, Karan A. Patel and Mark C. Drakos in The American Journal of Sports Medicine

Category: Sports; Other Introduction/Purpose: Achilles tendon repairs and reconstructions have historically been associated with high wound infection rates due to poor vascularity in this region. The risk of postoperative infection, a potentially devastating complication, has led surgeons to pursue non-operative treatment when possible for a range of Achilles tendon pathology. However, new surgical techniques have allowed for smaller incisions and modern, aggressive infection control strategies have limited the morbidity associated with these complications. The present study will review a large case series of Achilles infections, evaluating treatment strategies and outcomes for patients who developed a postoperative infection following treatment for Achilles pathology. Methods: This is a retrospective case series including all patients who experienced a postoperative Achilles tendon infection at a single hospital. Cases from 11 surgeons performed between 2011 and 2020 were reviewed for infection requiring a return to the operating room for irrigation, debridement, and any other necessary interventions. Cases that presented to our institution with an existing infection were also included. Thorough chart review was performed for all patients to determine pathology and initial treatment method, infection management, and clinical outcomes. For patients undergoing Achilles reconstruction with a graft, operative notes were reviewed to determine whether the graft was infected and thus removed during debridement. Clinical follow-up was performed and Patient-Reported Outcomes Measurement Information System (PROMIS) surveys were sent to all patients who were over 1 year out from surgery. Results: 33 patients experienced a postoperative Achilles infection, including 10 who developed infection after surgery at an outside hospital. For patients treated initially at our institution, 8 presented with an acute rupture and 15 with chronic pathology. 12 of 15 chronic cases underwent reconstruction with a graft. For 3 reconstructions and 1 acute repair (12%) the entire Achilles was infected and removed. The graft was partially removed in 2 reconstruction cases (6%) and remained fully intact in the remaining 27 cases (82%). In 2/4 cases in which the Achilles was removed, it ultimately reconstituted as confirmed on MRI. A skin graft or flap was required in 5 of 33 cases (15%) for adequate soft-tissue coverage. In 14 cases (42%), the infection was controlled after a single debridement, 17 cases (52%) required a second debridement, and 2 cases (6%) a third. Postoperative PROMIS scores were available for 17 patients (Table 1). Conclusion: To our knowledge, this case series represents the largest number of postoperative infections analyzed following Achilles tendon surgery. Relatively high postoperative PROMIS scores indicate that infected patients can ultimately reach high levels of physical function with minimal pain when managed appropriately. In many cases the Achilles or graft could be salvaged and in those where it was not, the tendon did at times reconstitute.

Supplemental material, Xiaoyue_disclosure for Subtalar Fusion for Correction of Forefoot Abduction in Stage II Adult-Acquired Flatfoot Deformity by James P. Davies, Xiaoyue Ma, Jonathan Garfinkel, Matthew Roberts, Mark Drakos, Jonathan Deland and Scott Ellis in Foot & Ankle Specialist

Supplemental material, Roberts_disclosure for Subtalar Fusion for Correction of Forefoot Abduction in Stage II Adult-Acquired Flatfoot Deformity by James P. Davies, Xiaoyue Ma, Jonathan Garfinkel, Matthew Roberts, Mark Drakos, Jonathan Deland and Scott Ellis in Foot & Ankle Specialist

Supplemental material, Davies_disclosure for Subtalar Fusion for Correction of Forefoot Abduction in Stage II Adult-Acquired Flatfoot Deformity by James P. Davies, Xiaoyue Ma, Jonathan Garfinkel, Matthew Roberts, Mark Drakos, Jonathan Deland and Scott Ellis in Foot & Ankle Specialist

Supplemental material, Deland_disclosure for Subtalar Fusion for Correction of Forefoot Abduction in Stage II Adult-Acquired Flatfoot Deformity by James P. Davies, Xiaoyue Ma, Jonathan Garfinkel, Matthew Roberts, Mark Drakos, Jonathan Deland and Scott Ellis in Foot & Ankle Specialist

Supplemental material, Ellis_disclosure for Subtalar Fusion for Correction of Forefoot Abduction in Stage II Adult-Acquired Flatfoot Deformity by James P. Davies, Xiaoyue Ma, Jonathan Garfinkel, Matthew Roberts, Mark Drakos, Jonathan Deland and Scott Ellis in Foot & Ankle Specialist

Supplemental material, Drakos_disclosure for Subtalar Fusion for Correction of Forefoot Abduction in Stage II Adult-Acquired Flatfoot Deformity by James P. Davies, Xiaoyue Ma, Jonathan Garfinkel, Matthew Roberts, Mark Drakos, Jonathan Deland and Scott Ellis in Foot & Ankle Specialist

Supplemental material, Garfinkel_disclosure for Subtalar Fusion for Correction of Forefoot Abduction in Stage II Adult-Acquired Flatfoot Deformity by James P. Davies, Xiaoyue Ma, Jonathan Garfinkel, Matthew Roberts, Mark Drakos, Jonathan Deland and Scott Ellis in Foot & Ankle Specialist

Supplemental material, Flatfoot_F_and_A_Image_Legend for Subtalar Fusion for Correction of Forefoot Abduction in Stage II Adult-Acquired Flatfoot Deformity by James P. Davies, Xiaoyue Ma, Jonathan Garfinkel, Matthew Roberts, Mark Drakos, Jonathan Deland and Scott Ellis in Foot & Ankle Specialist

Supplemental material, FAI750883-ICMJE for Tibialis Anterior Reconstruction With Hamstring Autograft Using a Minimally Invasive Approach by Sydney C. Karnovsky, Bridget Desandis, Andrea K. Papson, Quinn O’Malley, Robert DiGiacomo, Martin J. O’Malley, Taylor N. Cabe and Mark C. Drakos in Foot & Ankle International

Supplemental material, FAI809357-ICMJE for Radiographic Analysis of National Football League Players’ Fifth Metatarsal Morphology Relationship to Proximal Fifth Metatarsal Fracture Risk by Sydney C. Karnovsky, Andrew J. Rosenbaum, Bridget DeSandis, Christopher Johnson, Conor I. Murphy, Russell F. Warren, Samuel A. Taylor and Mark C. Drakos in Foot & Ankle International